Individual provider · Type 1 NPI

Bryan A. Clark, PA-C

Surgical Physician Assistant · Sandy, UT

NPI number 1093777047 Active

Practice location

9844 S 1300 E, Ste 275
Sandy, UT 84094-4692

Call (801) 571-7061 Map

Fax (801) 571-9277

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X3231151206 (UT)
Surgical Physician Assistant Primary 363AS0400X3231151206 (UT)

Surgical Physician Assistant: Definition to come...

30 other providers at this address

Other surgical physician assistant providers in Sandy

See all in Sandy →

About NPI 1093777047

Bryan A. Clark, PA-C's National Provider Identifier is 1093777047, issued on Apr 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sandy, UT. The record was last updated on Apr 22, 2016.